Healthcare Provider Details

I. General information

NPI: 1679201537
Provider Name (Legal Business Name): OLIVIA DONNINI LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2022
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1924 UNION ST STE 2
OAKLAND CA
94607-2326
US

IV. Provider business mailing address

PO BOX 30242
OAKLAND CA
94604-6342
US

V. Phone/Fax

Practice location:
  • Phone: 415-580-2012
  • Fax:
Mailing address:
  • Phone: 415-580-2012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number15408
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number162259
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: